Research Article

Plasma Chemerin Levels Are Increased in ST Elevation Myocardial Infarction Patients with High Thrombus Burden

Table 1

The TIMI thrombus burden classificationa.

GradeDefinition

Grade 0No angiographic characteristics of thrombus are present.
Grade 1Possible thrombus is present with such angiographic features (decreased contrast density, haziness of contrast, irregular lesion contour, a smooth convex meniscus at the site of a total occlusion, suggestive, but not firmly diagnostic of thrombus).
Grade 2Definite thrombus is present with greatest dimension of thrombus (<1/2 vessel diameter).
Grade 3Definite thrombus appears in multiple angiographic views (greatest dimension from >1/2 to <2 vessel diameters).
Grade 4Definite large size thrombus is present (greatest dimension > 2 vessel diameters).
Grade 5Definite complete thrombotic occlusion of a vessel (a convex margin that stains with contrast, persisting for several cardiac cycles); angiographic detection of a grade 5 TIMI thrombus leads to further exploration of the occlusive thrombotic content. Either a PCI guidewire or a small balloon is advanced across the thrombotic total occlusion. Crossing the thrombus results in restoration of antegrade flow in the treated vessel. Consequently, the ensuing coronary angiogram enables restratification of the underlying residual thrombus (final TIMI thrombus grade).

aData taken from [1517].